Inspection on 06/10/08 for The Lodge

This is the latest available inspection report for this service, carried out on 6th October 2008.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

The Lodge 10/10/05

The Lodge 15/04/05

The Lodge 26/10/04

The Lodge 24/05/04

The Lodge 08/12/03

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

Extracts from inspection reports are licensed from CQC, this page was updated on 30/01/2009.

CARE HOMES FOR OLDER PEOPLE The Lodge Clayton Road Clayton Newcastle Staffordshire ST5 4AD Lead Inspector Wendy Grainger Unannounced Inspection 6th October 2008 08:45 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address DS0000005016.V372666.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. DS0000005016.V372666.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Lodge Address Clayton Road Clayton Newcastle Staffordshire ST5 4AD 01782 616961 01782 254001 thelodge@choicesha.co.uk Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Choices Housing Association Limited Manager post vacant Care Home 4 Category(ies) of Learning disability (4), Learning disability over registration, with number 65 years of age (2), Physical disability (4), of places Physical disability over 65 years of age (2) DS0000005016.V372666.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service Users admitted must have a Learning Disability or a Learning Disability and a Physical Disability. 9th October 2006 Date of last inspection Brief Description of the Service: The Lodge is a detached bungalow set in its own picturesque and well maintained grounds, located on a busy main road, which gives easy access by car or bus to the town of Newcastle-under-Lyme. It provides accommodation for four adults who have a learning difficulty. The aim of the service is to be homely and domestic in character as circumstances allow. There is a small private car park. All areas of the home facilitate wheelchair access. The home consists of two single and one shared bedroom, a large lounge, kitchen come diner, a shower with toilet, and a fully adapted toilet and bathroom and a small laundry. The building is in a good internal and external state of repair and all furnishings and fittings are of a good quality. We suggest that people contact the service for up to date information about weekly fee rates. DS0000005016.V372666.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The overall quality rating for this service is 3 star. This means that the people who use the service experience excellent quality outcomes. One inspector carried out this unannounced key inspection on one day between 8:45 and 15:30 hours. The service completed an Annual Quality Assurance Assessment (AQAA). This is a self-assessment tool, which was used as part of this key inspection. The completion of the AQAA is a legal requirement and it enables us to see how well the service focuses on the outcomes for people to make sure that their needs are being met. The AQAA also gives us some numerical information about the service. We have received completed ‘Have your say’ surveys from two people who use the service, five staff and one health professional, we collated the information from these surveys and used it for this unannounced key inspection. We spoke to people who use the service where possible to find out their views about the service and lifestyle. We looked at the premises to see the standard of comfort and safety. We looked at the daily menus and observed breakfast and lunch served to assess the standard in terms of meeting people’s nutritional and dietary needs. We spent time with the deputy manager and observed staff interaction with the people who use the service. This unannounced key inspection report was completed for older people, this had been discussed with the prospective care manager who agreed that the needs of the people who use the service were age related DS0000005016.V372666.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? The service has recently been tastefully decorated throughout. The service throughout the last year has improved records across all care areas. The service has also secured and delivered a range of different training topics to staff. Assessments and processes to ensure safety to people have been updated and revised. DS0000005016.V372666.R01.S.doc Version 5.2 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. DS0000005016.V372666.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection DS0000005016.V372666.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 3, 6. Quality in this outcome area is good. People who may wish to use this service would receive all the relevant information they need to make a choice whether or not it could not meet their needs. No person is admitted to the service without a full assessment of their needs being carried out. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Information provided on the day told us that there had been no new long term placement admissions for some time. The Lodge does not provide intermediate or respite care. Information provided in the services completed AQAA told us that one person had been involved in the presentation of the Service Users Guide. This was evidenced from this document and from the Statement of Purpose. Both DS0000005016.V372666.R01.S.doc Version 5.2 Page 10 documents were colourful and well laid out, they had a simplistic way of providing information. The service also provides a DVD of the service; each person who used the service was provided with the Service Users Guide, one person prefers her service user guide to be kept in the entrance hall. We were told that if the service admitted another person, then prior to the placement a full assessment of needs would be explored. Interim visits would be offered including lunch and an over night stay. All the relevant agencies and family would be consulted to collate information prior to an admission. We spoke to two people who expressed their satisfaction with the service one said, ‘I like it here’ The services completed AQAA told us that people had received sufficient information before living at the service. DS0000005016.V372666.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7,8,9,10 Quality in this outcome area is excellent. The service meets the personal, health, social and emotional needs of the people who use it. This judgement has been made using available evidence including a visit to this service. EVIDENCE: We found out from two care plans that we looked at for people living at the service, by observing their body language and interaction with the staff that they were relaxed and cared for. We were impressed with the content of the plans as they were very ‘person centred’ ; each one demonstrated and identified support and care required for example, choice of lifestyle, likes and dislikes, daily tasks, health needs, finances, and medical reviews. DS0000005016.V372666.R01.S.doc Version 5.2 Page 12 When speaking to staff it was clear that they knew each person very well, their likes, dislikes and how they wanted to be cared for. The completed AQAA provided to us by the service told us ‘Service users dress appropriately for their age’. We observed people to be appropriately dressed. Their hair dressed to their satisfaction. The home does not make daily reports they do however have a daily task and interest record pinned on the board in the kitchen, this information is then transferred to the monthly reviews of care. We saw that this was happening both care plans and from our observations during our inspection. A completed survey from a health professional told us ‘ there is excellent care standards within the home,’ ‘ always a personalised approach to care’, ‘ always transparent and professional’ We were told in one survey completed by a person living at the service that ‘she had been taken to the doctors and the dentist by the staff’ We found from records that this corresponded with the survey comment . From the information provided we were told that the general practitioners were very supportive and referred the people who use the service to any specialist agency to benefit them. This was confirmed from the care plans seen. Staff told us that they had received training in the safe handling of medicines, from discussions the training had been a one day course provided by ‘Boots’ on the system. We were told by the deputy that there was no access to external training; the staff however confirmed that they had annual appraisal for medication with questionnaires. On each of the records for the Medication Administration Record (MAR) sheets contained protocols for any medication that is prescribed as not required all the time and any homely remedies all signed by the general practitioner. The service had strong systems in place for the ordering, receiving and disposal of medication. We saw staff commence and complete duty, each one was pleasant, friendly and greeted each individual person. We observed good interactions between the staff and the people. From the body language and one comment made to us by a person who use the service.’ I like going out and on holiday with the staff’ DS0000005016.V372666.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,14,15 Quality in this outcome area is excellent. People who use the service are given a choice regarding their daily routines and social life style. People are encouraged to maintain contact with friends and families. Meals provided are appropriate to peoples needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each of the people using the service are satisfied with their daily routines. We were told by one person that she had been to London and seen a show; this was confirmed by the programmes and guidebook in her ‘memory box’. We observed one person rise at a time to suit her, breakfast was served to her by staff. One person we observed assisted staff preparing her breakfast by buttering toast and peeling the eggs. DS0000005016.V372666.R01.S.doc Version 5.2 Page 14 Later in the morning we observed one person peeling potatoes ready for the evening meal. The person also went to the local shop with staff to purchase items for the tea. Three of the people were planning to go to Blackpool to see the lights, staying for the weekend. Each person has tasks, which they do on a daily basis, some assistance is provided when necessary. Activities are provided within the service, the lounge had a large television; games of cards and dominoes are popular with the people who use the service. From the information provided in a completed survey one person told us, ‘ I like taking part in household activities.’ Spiritual needs are respected, two people choose to attend the local church. The services completed AQAA states that transport for the people is available, we were told this is a mini bus from the company which is available three times a week, once to take people to church. The services AQAA states that contact with family and friends is encouraged, this was confirmed by one person on the day. Not all the people had relatives, so friends were important to them. No visitors came to the service during our inspection. From the information provided in completed surveys and AQAA the people who use the service were provided with a varied diet suitable to their needs. This was confirmed during breakfast when food was liquidised for one person. The home has access to speech therapy to seek advice in respect of this person. One person who uses the service told us in their completed survey ‘ I like the food my favourite food is fish.’ Menus are completed after the food has been prepared; this provides scope for change and gives a flexible, daily choice for individuals. DS0000005016.V372666.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16,18. Quality in this outcome area is good. Systems and training aim to make sure that complaints are listened to and acted upon and that people who use the service are protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: We saw that the complaints procedure was contained in the Statement of Purpose and Service users guide located in the entrance area and individuals bedrooms. Surveys from people who use the service and the staff confirmed that they would know who to speak to if they had a complaint. This was also confirmed by staff on duty who told us the principles of ‘whistle blowing’, bringing a concern to the appropriate person or agency. Staff told us they had received training, which includes the protection of Vulnerable Adults. There have been no complaints made to the service, safeguarding team or us. It is very positive in that we saw records of three recent compliments made by other people about the care provided. DS0000005016.V372666.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19,24,26. Quality in this outcome area is good. This service provides a comfortable, homely environment with space for people who use the service to relax in and socialise. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The location of the service and layout is suitable for its stated purpose. The service provides two single and one shared room for people who use the service. It does not however offer any en-suite facilities. We were told that the people sharing a bedroom were satisfied with this arrangement. This was further confirmed in one of the care plans we looked at. DS0000005016.V372666.R01.S.doc Version 5.2 Page 17 Each area within the service had been recently decorated, to suit individual’s choice and taste, each room was pleasant, personalised and well maintained. We observed on entering the service a free standing radiator, the heating had been out of action for some days. During the inspection the deputy contacted other agencies including the operational manager for the service. Prior to the completion of the inspection it was agreed that the heating would be repaired on the following day. We were told by the service on the 7th October 2008 that the heating is now operational. We were satisfied that every attempt to maintain the comfort of the people who use the service was in place. Information provided in the services AQAA confirmed that suitable equipment and adaptations were provided for the needs of individuals. Independence was encouraged as far as possible for each individual. Our findings from looking around the premises told us that people who use the service were provided with an exceptionally hygienic environment, this was further evidenced by observing the staff clean the bathroom after use, preventing any cross infection. The cleanliness is a credit to the staff. People who use the service told us that the home ‘is always fresh and clean’ DS0000005016.V372666.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27,28,29,30. Quality in this outcome area is good. A committed staff team support the people who use the service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During our day at the service we saw staff in numbers to meet the daily needs of the people who use the service our observations showed that these staff were motivated and committed to caring for the people who use the service to a high standard. Management and staff work well together as a team. Information provided in the services AQAA stated ‘we have sufficient appropriately trained staff’ ‘we have a strong system for staff support’ The number of staff available was confirmed from the staff rota’s and observations on the day of our inspection. Staff work various hours, each shift with the exception of nights, there was a minimum of two to three staff on duty for the four people who use the service. One waking staff is provided at night with a person available if necessary. Completed surveys from staff and verbal comments on the day told us that training was relevant to the role they had.’ We feel we have the right support DS0000005016.V372666.R01.S.doc Version 5.2 Page 19 and knowledge to meet the needs of the service users’ ‘ training keeps me up to date.’ Each agreed that the relevant checks were made prior to employment and after ten years following the required checks being brought into action. People who use the service told us, ‘ I can always find some one’ ‘ staff always come to me’ People who use the service are protected by robust checks by management prior to employment. We looked at records and this was confirmed with the number of the Criminal Records Bureau check on file. We saw the application form, and training records. Surveys provided from the staff confirmed that they receive training, which is relevant to their jobs. This included: three staff had recently completed a course on Dementia, two more staff are to complete this training in October 2008.Training provided for staff in February 2008 included, moving and handling, Control of Substances Hazardous to Health (COSHH), fire safety and food hygiene. First Aid had been undertaken at various times each one was current. We were told by staff and records confirmed that appraisal and supervision sessions were due the week of our inspection. DS0000005016.V372666.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31,33,35,38. Quality in this outcome area is good. Management processes aim to ensure that the service is run in the best interests of the people who use it. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The prospective care manager was off duty. The deputy care manager was involved in our inspection, she demonstrated her knowledge of the people who use the service, staff training and the National Minimum Standards. From the DS0000005016.V372666.R01.S.doc Version 5.2 Page 21 information provided by the service in their AQAA confirmed that she had achieved the Registered Managers Award, this was confirmed verbally by the deputy. Further qualifications included National Vocational Qualifications (NVQ) levels two, three and four and the assessors award (A1). We observed good interactions between the staff and people who use the service and deputy manager. The staff team were relaxed during the inspection and carried out their roles as experienced carers, each one aware of the needs of individuals. We checked one person’s finances held in safekeeping and found this was satisfactory. Information provided in the services AQAA stated that there is an ‘open door’ policy; this was evidenced during the day of the inspection with one person who used the service and staff coming into the office on a number of occasions. Safe working practices were in place with risk assessments; all hazardous substances were secured. The services AQAA told us that equipment was serviced at the appropriate times. We saw that records for the protection of people who use the service and staff training was satisfactory in the event of a fire or other emergency. DS0000005016.V372666.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 DS0000005016.V372666.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations DS0000005016.V372666.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI DS0000005016.V372666.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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